CLINICAL IMPLICATIONS OF CEREBRAL REORGANISATION AFTER PRIMARY DIGITAL FLEXOR TENDON REPAIR

摘要: After flexor tendon injury, most attention is given to the quality of repair and postoperative early passive dynamic mobilisation. Schemes for active mobilisation have been developed prevent adhesions joint stiffness. This paper describes five patients demonstrate cerebral consequences immobilisation allowing only movements, which implies a prolonged absence actual motor commands. At end such immobilisation, PET imaging revealed reduced blood flow in specific areas, associated with temporary loss efficient control. Effective control was regained after flexion exercises reflected normalised activations. suggests that temporary, reversible dysfunction may affect outcome injuries.